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Indiana rates for HCPCS 21705

Division of scalenus anticus; with resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.84 / $1,854.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.14 / $520.03 / $796.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $18,746.79 / $27,445.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.08 / $791.86 / $1,073.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.33 / $651.04 / $976.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.03 / $567.69 / $837.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.58 / $754.45 / $1,208.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.66 / $622.09 / $1,121.66